Thursday, August 25, 2011

The Doc who Magged Me

On April 22, I reached week 32 and had to go off of my magic green pill, Indocin. I took my last dose at midnight Friday night and was in the hospital with lots of contractions by 7pm Saturday. When I got to the hospital, again I was put on the monitors to watch the baby's heartbeat and the contractions. Every five minutes. They tried some oral medications first, then they tried doubling the dose of the same medication. Several hours went by. Saturday turned into Sunday. By Sunday afternoon, my contractions had not stopped. They weren't progressing, but they were constantly every five minutes, no matter what was done. And some were strong. So, they walked into my room with an iv set up and several bags of medications, and announced that my contraction pattern was better than their current patients who were actually in labor, like real labor, like giving birth in a few hours labor. So I needed to be started on Mag.

Mag. I could write a book about mag. A largely miserable book, except for the ending, I suppose.

Let me start out by saying that Dr. Tabsh, my OB, has a reputation of caring about one thing - the baby and its well being. That sounds really great, right? and it is. Except for this - it comes at just about any cost to the mommy. And in those terms, MAG is one of the most expensive ways to lay in the hospital. THANK YOU Dr. Tabsh for giving me a baby at 36 weeks who was and remains healthy. But I have to hate you just a little bit for Magging me for 4 weeks.


If you read Tonya's blog back in April, you will have just scratched the surface of what being on mag is like. The fact that she had to write my blog for me is a hint at how miserable the stuff really is.


After three nurses tried four times to find a vein, they finally called the anesthesiologist to get an IV started (a process which repeated itself every 5 days while I was admitted, because that's how often you need a clean line). They warned me what was coming, they said it would feel like pressure and burning as the Mag started. They missed the mark slightly, as it actually felt like an elephant was standing on my chest which was made of fiery coals. I asked them several times if I was having a heart attack. I can't imagine one feeling much different. My entire body felt engulfed in flames. The AC was turned down to 50 degrees, I had cold packs and cold washcloths on my face and chest. The burning in my epigastrium was so severe that I vomited

bile. They tried to start a urinary catheter which I made them take out because it was more burning than I could take. My chest was so heavy that I had to remind myself to breath. And that was all in just the first three hours. They assured me it would get better. A few of the prolonged side effects that never really went away:
1. Vision blurring
2. constipation
3. hemorrhoids, due to the constipation
4. total body weakness
5. poor balance
6. worsening heartburn
7. nausea
8. fatigue, actually a blessing so that I could sleep through the worst of it.
9. off and on, I continued to feel chest heaviness, no fun
10. headache
11. low blood pressure.
12. pulmonary edema (oh yeah, you know that one was fun)
13. Lab draws every six hours, around the clock. This lasted for three weeks. I ran out of veins, so during labor they had to start one in my foot. More on that later.
14. constant monitoring of the heartbeat and the contractions.
15. Not so much due to mag, but rather due to preterm labor, they had my bed inverted so my head was lower than my feet as much of the time as possible. Made for fun after-dinner heartburn and food particle regurgitation.
16. I guess you could say generalized stress over how this was all affecting the baby.



I'm probably forgetting some, but that's the gist of it. Here's how you are limited because of the above issues:

1. you can't watch tv, crochet, read, facebook, email, or do anything on the computer for longer than about an hour a day because of the vision issues. My eyes would start burning and I couldn't see anything after that.
2. You can't have the lights on too bright because of the vision issues as well.
3. total body weakness means instability, so I was limited to a five square foot area to move about in. that included my sink and bedside commode. And no showers, unless the nurse taking care of you was nice and would sneak it by the doctor. Otherwise, bedbaths every day.


4. because of the gi issues, i lost my appetite for some time and didn't gain weight for the first two weeks in the hospital. Then they put me on Ensure dietary supplement.
5. constipation like you wouldn't believe. Everything I was able to put in my mouth centered around avoiding and alleviating constipation. I ate fruit with every meal I could put down, I had fiber in every single dish I could stomach, and I drank as much water as they would allow.
6. Breath. I started getting pulmonary edema around week 33, so they ended up altering some of my meds. That was fun.
7. Constant monitoring meant being effectively "tied" to the bed at all times. Beyond the IV, I had two lines for monitoring and two lines for the SCDs that kept the blood flowing to my feet. The monitors eventually started to erode away at my skin on my belly, which was constantly being stretched to new limits by my ever growing baby.
8. Anything you can think of. It was effected. That's how it seemed, anyways.



All this, and the contractions continued. Every five minutes. For four weeks.

I'm Back. But not for long. :)

So I know that it's been about three and half decades since I last made an entry. I have so much to catch you up on. Maybe it's best if I divide and conquer. Let me start by letting you in on the major updates. I went into the hospital on April 22 in preterm labor. Sadie Belle was born at week 36, on May 21, 2011 a happy and healthy 6 pound 6 oz -er! Although she was a month early, she came home with us two days later and has been growing like crazy ever since. She is now three months old!! My how time flies! And I am exactly one week away from restarting work. ACK! Scary. The past three months have been so filled with joy and love and miraculous stuff and exhaustion and joy and love and exhaustion. Oh wait I said that twice. Also forgetfulness. I will do my best to fill you in.

Saturday, May 7, 2011

Out for Lunch

A lot has happened lately; so much so that I'm outsourcing my blog entries. My very dear friend Tonya is helping out on her blog. I'll update as soon as I can.

Wednesday, April 20, 2011

April Showers

This past weekend brought a wonderful shower hosted by my dear "California Parents" (aka my inlaws, but that sounds so brute).  I cannot express how delightful it was to watch Jason and Maria prepare our little apartment for the festivities, have the optimistic foreboding of the event to come, sit with friends and chat with them for hours as the day passed lazily by, play games and just genuinely enjoy myself.  The significance of these people coming together to celebrate the upcoming arrival of our little girl was not lost on me. These friends are all so close to us in various ways, it felt like a big family reunion for us, and the first for the baby.  She is so loved.

The showers have been the highlight of the month. They kept me preoccupied and I've been looking forward to them for so long, it's amazing to think they are over!  I remember looking at the calendar longingly through the months, feeling like time would never pass, but here we are at 31 weeks.  I've been on bedrest now for 17 weeks, and there is comparably only a tiny little time left before we finally meet our little girl.











Naoko and I comparing bellies. She's about 14 weeks and yes, for her, that's a bump!

31 weeks and 3 days



Ok, so this picture is more for my mother than anyone else, who told me she can't imagine my stomach without a belly button.  Here's proof. Sorry if it's one of those things only a mother can love...
My appointment on Monday was reassuring. Continuing my atomic bomb medication (which, by the way, really is "the bomb", it gave me my life back!) until Saturday, then back to the Nifedipine, which I was on before the bomb. Doc says we should know within a few days how well it will hold me over, but as he left he winked and said joyfully, "Good news is, we are to 32 weeks." Although he didn't re-estimate her weight, I gained almost 3 pounds in a week, so I'm hoping a hefty part of that went to her and not my thighs!!  Oh yes, and he reconfirmed - still a girl (also reassuring!).

Tuesday, April 12, 2011

30 weeks update

Since starting the indocin, things have been much better. My fluid levels have to be checked weekly, and at my 29 week appointment the fluid had gone down a bit. I was instructed to back off the indocin from four times a day to three times a day. It is still pretty effective, and I've only had to actually start counting contractions on two different occasions since starting the med.  My 30 week appointment showed stable fluid levels, so I can continue the medication three times a day for now, hopefully all the way until 32 weeks.

Blissfully horizontally pregnant is the best way I can sum up the past few weeks. A few other details:

  • the baby is now 3.5 pounds and about 16 inches long
  • that may sound small, or it may sound big, but it feels enormous, especially when she stretches her pokey little legs
  • the bladder is officially under pressure. Ack!
  • still no stretch marks, but the belly button has officially "popped"
  • she moves CONSTANTLY!!  last night we were trying to practice relaxation techniques and neither Jason or I could focus on anything apart from the wavelike motion of my expanding belly!
  • Ugh, Bosley has to have a shock collar. In spite of my speaking to him in a very mature voice and trying to explain multiple times why his barking has to stop, alas he does not understand. Am I a bad puppy parent? Hope not...
And a few tidbits about the future...
  • I will continue on the indocin until next week Saturday, when I officially turn 32 weeks. After that, I will switch back to the Nifedipine. Who knows how long or how well it will work, but of course we are hoping and praying for good things!
  • if the nifedipine doesn't work at any point, I will be put in the hospital to do whatever it takes to prolong the pregnancy
  • If I have to be in the hospital, they would wait until the lungs are mature, around 36 weeks, and then deliver me even though it's a little early. This would be May 21st at the earliest we hope.
  • If the Nifedipine works well and I don't have to be at the hospital, then the plan stays unchanged and I will have the cerclage taken out at 37 weeks, around May 30th or so. 
That's it for now! New belly pics in a couple of days

Baby Shower With CoWorkers

This past Friday, several great friends from work hosted a baby shower for me. It was beyond wonderful to see everyone and catch up!  I felt so well-socialized. Watching Bosley interact with the children who accompanied several guests was delightful! I was worried he may be a little much for them, but he did great (apart from the face-licking...)!

Joy, Roxie and I. Thank you so much for all your hard work, ladies!


Asher, Joy's bubbly baby boy, kept Bosley entertained! Too cute!


Michaela and Bosley getting to know each other...


Getting a hand massage from Giuliana. Bliss.

Laleh enjoys vegan cupcakes made by Joy's sister in law. So delicious!

The gang. Boys are hiding in the back, too.

Poopy diaper game!  

Poopy diaper = poopy face

Getting snuggly on the couch with good friends is always a great way to pass a Friday evening!

Prepping the Nursery


t's not quite done, but we've (Jason's) been hard at work getting things together to make a happy nursery for our little girl. Here are a few pics from the past few months...
Painting a happy yellow color on one wall. It was called "June Day", which we thought was perfect for our little munchkin who is due in June!

Ok, so Bosley hasn't really helped much.

Jason assembling the Baby Bouncer!



Last week Monday, Mike (Jason's dad) brought us the crib! Wish I could have gotten some pictures of them putting it together, but they did it so quickly I didn't have a chance. The finished product looks great!!

Our Rocker has moved from the living room into the baby's room.


The wall got a few decorative pieces, more to come...